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NPI Code Detail

MEDICARE: KEYA M BHAGIRATH BCC

MEDICARE:   KEYA M BHAGIRATH  BCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP1600XPastoral Counselor

General Provider Information

NPI Number : 1730047663
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEYA M BHAGIRATH BCC
Provider Business Mailing Address
First Line : 1201 BENTON STREET
Second Line :
City : LOMA LINDA
State : CA
Zip : 92357-0001
Country : US
Telephone Number : 909-825-7084
Fax Number :
Provider Business Practice Location Address
First Line : 1201 BENTON STREET
Second Line :
City : LOMA LINDA
State : CA
Zip : 92357-0001
Country : US
Telephone Number : 909-825-7084
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ KEYA M BHAGIRATH BCC” Practice Location

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